STRATEGIC PLAN - ASPE - U.S. Department of Health and Human ...

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CHAPTER 2: Health careRural HealthThrough collaborative initiatives such as the HHSRural Task Force and the National Advisory Committeeon Rural Health and Human Services, HHS works toaddress the difficulties of providing health care inrural communities. A technical assistance Web siteand targeted dissemination of information aboutinnovative models for health services delivery in ruralcommunities are part of HHS’s overall strategy.The HHS Underserved Populations effort focuseson delivery of health care services for underservedpopulations in rural and urban areas and involvesCMS, HRSA, IHS, OD, SAMHSA, State and local healthdepartments, health care providers, and the TribalTechnical Advisory Group.Health CentersAt the beginning of FY 2007, HRSA’s ConsolidatedHealth Center Program was providing comprehensiveprimary and preventive health care in more than 3,800sites across the country to an estimated 14.8 millionpeople. xi Most Health Center patients have incomes ator below 200 percent of the FPL. Many Health Centerpatients have no health insurance, and most patientsare racial or ethnic minorities.Health Centers help to improve the availability ofhealth services by providing a range of essentialservices. As new or expanded sites are funded inmedically underserved communities, a major focus willbe on poor rural and urban counties consistent withthe President’s goal of establishing new Health Centersin the poorest counties in the Nation. Health Centershelp to improve the availability of health servicesby providing a range of essential services, includingpharmacy services onsite or by paid referral, preventivedental care, and mental health and substance abuseservices at most centers.Mental HealthThe final report of the President’s New FreedomCommission on Mental Health (2003) called for afundamental transformation of how mental health careis delivered in America. SAMHSA’s Center for MentalHealth Services will continue to work to transform themental health system so that Americans understandthat mental health is essential to overall health; mentalhealth care is consumer and family driven; disparitiesin mental health services are eliminated; early mentalhealth screening, assessment, and referral to servicesare common practice; excellent mental health care isdelivered and research is accelerated; and technology isused to help consumers access mental health care andinformation.New Orleans Health SystemHurricane Katrina incapacitated the Greater NewOrleans health care system, ravaged its health careinfrastructure, and severely impacted health caredelivery in a number of Louisiana parishes. Eightypercent of New Orleans Health Centers were destroyed;the teaching hospitals of New Orleans were devastated;and countless people lost all of their medical records.The Louisiana Health Care Redesign Collaborativestrives to build an efficient 21st century health caresystem implementing technology, transparency,emergency preparedness, and greater personal healthcare choices. HHS is supporting the Collaborative inits effort by helping to convene stakeholders, providingexpert assistance and other HHS resources, removingbarriers to progress, and reviewing Medicaid waiverand Medicare demonstration concepts submitted bythe Louisiana Health Care Redesign Collaborative inaccordance with the guiding principles.The goal is to improve health care by providing everycitizen with access to health care that is preventioncentered, neighborhood located, and electronicallyconnected. Health care providers could use electronichealth records and meet certain quality measures inorder to provide care. Success means that Louisianaand New Orleans will have health care systems thatcan serve as models for the Nation. More informationabout how HHS is promoting electronic healthrecords is included later in this chapter in, In theSpotlight: Advancing the Development and Use of HealthInformation Technology.36 HHS Strategic Plan FY 2007-2012
CHAPTER 2: Health careRyan White HIV/AIDS ProgramHRSA’s programs through the Ryan White HIV/AIDSProgram currently provide services to approximately531,000 individuals who have little or no insuranceand are impacted by HIV/AIDS. xii Key pieces of thisprogram include its efforts to prioritize lifesavingservices, medications, and primary care for individualsliving with HIV/AIDS. Providing more flexibility totarget resources to areas that have the greatest needs isalso a key piece of the Ryan White HIV/AIDS Program.The program also encourages the participation of anyprovider, including faith-based and other communityorganizations, that shows results, recognizes the needfor State and local planning, and ensures accountabilityby measuring progress.Substance Abuse ServicesSAMHSA’s Center for Substance Abuse Treatmentpromotes the quality and availability of communitybasedsubstance abuse treatment services forindividuals and families who need them. The Centerfor Substance Abuse Treatment works with Statesand community-based groups to improve and expandexisting substance abuse treatment services underthe Substance Abuse Prevention and Treatment BlockGrant Program. The Center also supports SAMHSA’sfree treatment referral service to link people with thecommunity-based substance abuse services they need.Among SAMHSA’s efforts to improve the health of theNation by increasing access to effective alcohol anddrug treatment is the Access to Recovery program.Access to Recovery is designed to accomplish threemain objectives: to expand capacity by increasing thenumber and types of providers, including faith-basedand community providers, who deliver clinical treatmentand/or recovery support services; to require grantees tomanage performance, based on patient outcomes; andto allow recovery to be pursued through many differentand personal pathways. Vouchers, State flexibility, andexecutive discretion combine to create profound positivechange in substance abuse treatment financing andservice delivery. The innovative and unique Access toRecovery program is focused on consumer empowerment.HHS Strategic Plan FY 2007-201237
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Appendix h: endnotesXXX.CDC. (2005)
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